Adjunct Medical Coding Instructor

• Nov 2019 - Present

Adjunct Instructor - Medical Billing and Coding/ AAPC Certified Instructor

• Sep 2015 - Present

I provide an introduction into medical terminology, medical coding and billing education designed for people looking for a career change or to enhance existing skills.

Manager at Coding Matters, LLC

• Aug 2019 - Present

President

• Jan 1995 - Present

Principal and Senior Consultant

• Jan 2016 - Present

Involved in implementing ICD-10 strategies for the upcoming transition to ICD-10: - Documentation assessments and training to meet ICD-10 requirements - Process assessments of current systems - Review of billing policies and procedures - Review of denial management processes - Code Training/ Enhancement of Clinical Knowledge Involved in implementing ICD-10 strategies for the upcoming transition to ICD-10: - Documentation assessments and training to meet ICD-10 requirements - Process assessments of current systems - Review of billing policies and procedures - Review of denial management processes - Code Training/ Enhancement of Clinical Knowledge

Interim Practice Administrator

• Jan 2017 - Oct 2017

Brought in to address improvement in all processes related to MIPS and to address the issues within the practice that contributed to lost revenue or reimbursement. Brought in to address improvement in all processes related to MIPS and to address the issues within the practice that contributed to lost revenue or reimbursement.

Interim Director of Revenue Cycle and Compliance

• Sep 2015 - Jul 2016

Responsible for the overall revenue cycle functions and processes, which include demographic collection, verification, coding from documentation, billing input, claim processing, patient and payer followup, as well as, payment posting and patient customer service. Also responsible for policy and procedure development and other management functions. Responsible for the overall revenue cycle functions and processes, which include demographic collection, verification, coding from documentation, billing input, claim processing, patient and payer followup, as well as, payment posting and patient customer service. Also responsible for policy and procedure development and other management functions.

Coder III

• 2012 - 2012

Improved the charge capture process through diligent coding reviews at Seton Healthcare by re-engineering how the physicians viewed the services provided to their patients. Educated them on the proper processes for charge capture and the requisite coding and documentation required to attain reimbursement. Provided daily feedback to the physicians to reinforce the reduction of lost revenue. Improved the charge capture process through diligent coding reviews at Seton Healthcare by re-engineering how the physicians viewed the services provided to their patients. Educated them on the proper processes for charge capture and the requisite coding and documentation required to attain reimbursement. Provided daily feedback to the physicians to reinforce the reduction of lost revenue.

Managing Partner

• Jan 1995 - Aug 2007

Started this Revenue Cycle and Medical Coding organization focused on improving a client's bottomline. Serviced over 50 practitioners in six locations in North Carolina. In addition to the billing and coding services, also provided contract negotiations and practice management. Billed over 250,000 claims annually with a clean claim rate of 98.2% and reimbursement received in less than 20 days from date of billing. Assisted in the development of new technology, specifically natural language processing for assigning ICD-9 and CPT codes based on the physician's documentation in the medical record. Show less

National Director of Reimbursement

• 1992 - 1995

Responsible to 25,000 members regarding billing, coding and reimbursement concerns. I was a resource for a multitude of billing and coding questions, insurance payment policies, and processes. Presented in multiple National and local chapter venues. A liaison to the AMA and their various committees, as well as the Centers for Medicare and Medicaid. As a Policy Director, I contributed to development of ACEP's portion of the Emergency Medicine component of the 1995 Documentation Guidelines Show less

Director of Patient Financial Services

• 1989 - 1992

Directed and managed the registration and billing departments of 2 UHS facilities in Dallas, Tx. Re-engineered both billing departments and improved collections over 30%. At the Dallas Family facility, re-worked denied Medicaid claims and collected over $400,000 with 6 months. Developed and implemented improved processes for registration and insurance eligibility, as well as, improving collection of deposits required for surgical procedures. Directed and managed the registration and billing departments of 2 UHS facilities in Dallas, Tx. Re-engineered both billing departments and improved collections over 30%. At the Dallas Family facility, re-worked denied Medicaid claims and collected over $400,000 with 6 months. Developed and implemented improved processes for registration and insurance eligibility, as well as, improving collection of deposits required for surgical procedures.

Business Office Director

• 1979 - 1984

Worked at Shoal Creek Hospital in Austin as an Interim Business Office Manager at age 21. Accepted assignment to Eagle Pass (Maverick County Hospital District) for 1 year. Re-organized and re-trained 24 employees to better perform their responsibilities within the billing office. Facility was in imminent threat of closing within 2 months due to lack of cash flow and mounting debt. Was able to establish significant cashflow within 4 months of arrival and was 'back in the black" by 10 months. Offered an opportunity to open a new hospital in Pampa, to replace county facility. Opened a state-of-the-art hospital. Responsible for all registration areas, hospital billing and physician billing. Restructured the billing office staff responsibilities and developed a complete Policy and Procedure Manual as part of my certification as a Business Office Manager within the HCA system. Show less